Organization Active NPI

Sequoia Podiatry Group, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Visalia, CA
National Provider Identifier
1265728497
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4791 Issued in CA
Legal business name
SEQUOIA PODIATRY GROUP, INC.
Practice address
308 S Johnson St
Visalia, CA 93291-6136
Phone
(559) 734-1171
Fax
(559) 734-6849
NPI assigned
Jun 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Richard R Motos, DPMNPI 1891766598
Title
Owner/Physician
Phone
(559) 734-1171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X E4791 CA Primary

Addresses

Primary practice location

308 S Johnson St
Visalia, CA 93291-6136

Mailing address

308 S Johnson St
Visalia, CA 93291-6136
Phone (559) 734-1171

Other names 1

  • SEQUOIA FOOT CARE GROUP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110728000380 CA Part B Supplier - Clinic/Group Practice 9436327939 Receives reassigned benefits from 1 practitioner
Practice locations: Visalia, CA
O20110822000260 CA DME Supplier - Physician - Podiatry 9436327939 Practice locations: Visalia, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1265728497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S JOHNSON ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916136",
            "telephone_number": "559-734-1171",
            "fax_number": "559-734-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S JOHNSON ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916136",
            "telephone_number": "559-734-1171",
            "fax_number": "559-734-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA PODIATRY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "MOTOS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "559-734-1171",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEQUOIA FOOT CARE GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.